Evidence map›Paper›PMID 26852850›Full record

ArticleJournal of pharmaceutical sciences2016

Current Inhalers Deliver Very Small Doses to the Lower Tracheobronchial Airways: Assessment of Healthy and Constricted Lungs.

Ross L Walenga, P Worth Longest

Abstract read
In one paragraph

Article in Journal of pharmaceutical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Prediction of the Atomization Process in RespimatBioengineering (Basel, Switzerland) · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Pressure pulsations enhance penetration index in COPD.Drug delivery and translational research · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Ross L WalengaDepartment of Mechanical and Nuclear Engineering, Virginia Commonwealth University, Richmond, Virginia 23284.
P Worth LongestDepartment of Mechanical and Nuclear Engineering, Virginia Commonwealth University, Richmond, Virginia 23284; Department of Pharmaceutics, Virginia Commonwealth University, Richmond, Virginia 23284. Electronic address: pwlongest@vcu.edu.

Funding

High Efficiency Aerosol Delivery using the Excipient Enhanced Growth Concept: A Human Proof of Concept StudyR01HL107333 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI HINDLE, MICHAEL, LONGEST, P. WORTH · 2011 to 2020
$4.2M
Predictive Lung Deposition Models for Safety and Efficacy of Orally Inhaled DrugU01FD004570 · FDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI LONGEST, P. WORTH · 2012 to 2014
$347k
FDA HHS U01 FD004570NHLBI NIH HHS R01 HL107333
6 · The paper itself

Abstract

To evaluate the regional delivery of conventional aerosol medications, a new whole-lung computational fluid dynamics modeling approach was applied for metered dose inhaler (MDI) and dry powder inhaler (DPI) aerosols delivered to healthy and constricted airways. The computational fluid dynamics approach included complete airways through the third respiratory bifurcation (B3) and applied the new stochastic individual pathway modeling technique beyond B3 through the remainder of the conducting airways together with a new model of deposition in the alveolar region. Bronchiolar (B8-B15) deposition fraction values were low (∼1%) for both MDI and DPI aerosols with the healthy geometry, whereas delivery to the constricted model was even lower, with deposition fraction values of 0.89% and 0.81% for the MDI and DPI, respectively. Calculating dose per unit surface area for the commercial MDI and DPI products resulted in approximately 10(-3) μg/cm(2) in the lower tracheobronchial region of B8-B15 and 10(-4) μg/cm(2) in the alveolar region. Across the lung, dose per unit surface area varied by 2 orders of magnitude, which increased to 4 orders of magnitude when the mouth-throat region was included. The MDI and DPI both provided very low drug dose per unit surface area to the small tracheobronchial and alveolar airways.

Indexed as

Dry Powder InhalersMetered Dose InhalersModels, AnatomicAdministration, InhalationAerosolsAsthmaBronchodilator AgentsChemistry, PharmaceuticalComputer SimulationDrug Delivery SystemsHumansLungParticle SizePowdersRespiratory SystemTechnology, PharmaceuticalAerosolsBronchodilator AgentsPowdersairway constrictionasthmadry powder inhalermetered dose inhalerrespiratory drug deliverysmall airwayswhole-lung CFD model

Identifiers

PMID26852850
PMCPMC4746502

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.